Individual
ELIZABETH ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6950 W HIGGINS AVE APT 1, CHICAGO, IL 60656-1928
(773) 750-1731
Mailing address
6950 W HIGGINS AVE APT 1, CHICAGO, IL 60656-1928
(773) 750-1731
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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